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SB-331 Suicide prevention: strategic plans.(2019-2020)

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Date Published: 05/17/2019 06:22 PM
SB331:v97#DOCUMENT

Amended  IN  Senate  May 17, 2019
Amended  IN  Senate  March 25, 2019

CALIFORNIA LEGISLATURE— 2019–2020 REGULAR SESSION

Senate Bill
No. 331


Introduced by Senator Hurtado
(Principal coauthor: Assembly Member Levine)
(Coauthor: Senator Beall)

February 19, 2019


An act to add Section 4098.6 to the Welfare and Institutions Code, relating to suicide prevention.


LEGISLATIVE COUNSEL'S DIGEST


SB 331, as amended, Hurtado. Suicide-prevention: Suicide prevention: strategic plans.
Existing law, the California Suicide Prevention Act of 2000, authorizes the State Department of Health Care Services to establish and implement a suicide prevention, education, and gatekeeper training program to reduce the severity, duration, and incidence of suicidal behaviors.
This bill would require counties to create and implement, and update as necessary, every 3 years, a suicide-prevention strategic plan that places particular emphasis on preventing suicide in children who are less than 19 years of age and includes specified components, including long-term suicide prevention suicide-prevention goals and the selection or development of interventions to be used to prevent suicide. The bill would require counties, as part of the planning process to, among other things, provide recommendations to individuals and organizations working with youth on early intervention, implementation of crisis management systems, and addressing suicide risk for vulnerable populations. The bill would make these provisions inapplicable to a county that had a suicide-prevention strategic plan on January 1, 2020, that meets these requirements. By creating a new duty for counties, this bill would impose a state-mandated local program.
Existing law, the Mental Health Services Act (MHSA), an initiative measure enacted by the voters as Proposition 63 at the November 2, 2004, statewide general election, establishes the continuously appropriated Mental Health Services Fund to fund various county mental health programs.
This bill, to the extent it is consistent with and authorized by the MHSA, would authorize counties to use MHSA funds to implement the above-described provisions.
The bill would condition implementation of its provisions by a county on an appropriation by the Legislature or the county using MHSA funds, as described above.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.
Vote: MAJORITY   Appropriation: NO   Fiscal Committee: YES   Local Program: YES  

The people of the State of California do enact as follows:


SECTION 1.

 (a) The Legislature finds and declares all of the following:
(1) The federal Centers for Disease Control and Prevention reports that suicides are increasing across the United States.
(2) Over the 10-year period between 2007 and 2016, California has experienced a constant rise in deaths by suicide, with the exception of one year, 2012, in which there was a slight decrease in deaths by suicide. Over the same 10-year period, almost 40,000 Californians died by suicide.
(3) Since 2009, only seven counties in California, the Counties of Contra Costa, Fresno, San Diego, San Mateo, Santa Clara, Solano, and Tuolumne, have adopted a suicide-prevention strategic plan, with two additional counties, the Counties of Marin and Santa Cruz, recently convening work groups workgroups to develop a suicide-prevention strategic plan.
(4) As part of the early intervention component included in the Mental Health Services Act, counties are required to emphasize strategies that reduce suicides.
(5) The County of Santa Clara, which has had a concerted suicide-prevention effort since 2010, and has implemented a suicide-prevention strategic plan, has seen an 11 to 14 percent 11- to 14-percent decrease in suicide deaths, while the overall suicide rate in California is increasing.
(b) It is the intent of the Legislature in enacting this act to require counties to implement suicide-prevention strategic plans and reduce the suicide rate in California.

SEC. 2.

 Section 4098.6 is added to the Welfare and Institutions Code, to read:

4098.6.
 (a) Counties shall create and implement a suicide-prevention strategic plan. The strategic plan shall place particular emphasis on preventing suicide in children who are less than 19 years of age and shall include, at a minimum, all of the following:
(1) A description of the scope of the problem in the county.
(2) Long-term suicide-prevention goals.
(3) Key risks of, preventive factors for, and protective factors of of, suicide prevention.
(4) Selection or development of interventions to be used to prevent suicide.
(5) A plan to evaluate the success of the strategic plan.
(b) In developing a suicide-prevention strategic plan, counties shall consult with stakeholders including, but not limited to, schools, health care organizations, youth justice organizations, and other multi-sector multisector teams with the goal of reducing suicides in the counties in which they operate.
(c) As part of the strategic-planning process, counties shall provide recommendations to individuals and organizations working with youth on early intervention, implementation of crisis management systems, and addressing suicide risk for vulnerable populations; collect and analyze data; engage in strategic communications; and educate individuals and organizations working with youth on suicide-prevention strategies and local suicide-prevention needs.
(d) Counties shall update the suicide-prevention strategic plan as needed every three years to reflect innovations and developments in the field of suicide-prevention. suicide prevention.
(e) This section does not apply to a county that had a suicide-prevention strategic plan on January 1, 2020, that meets the requirements of this section.
(f) A county may, to the extent it is consistent with and authorized by the Mental Health Services Act, use Mental Health Services Act funds to implement this section.
(g) This section shall be implemented by a county only if an appropriation is made in the annual Budget Act or another measure for purposes of this section, or if the county uses Mental Health Services Act funds pursuant to subdivision (f).

SEC. 3.

 If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code.